Interprofessional Communication and Collaboration During Emergent Birth Center Transfers: A Quality Improvement...

Area of Science:

• Obstetrics and Gynecology
• Emergency Medical Services
• Healthcare Quality Improvement

Background:

• Birth center care is safe for low-risk women, but emergent transfers can occur.
• Effective interprofessional communication is crucial for optimal outcomes during emergent transfers.
• Community birth settings require robust emergency transfer protocols.

Purpose of the Study:

• To implement interprofessional emergent birth center transfer mock drills.
• To enhance communication and collaboration among midwives, paramedics, and hospital staff.
• To improve the safety and efficiency of perinatal emergency transfers.

Main Methods:

• Conducted education sessions for paramedics on perinatal emergencies and midwifery scope of practice.
• Assessed paramedic knowledge using pretests and posttests.
• Organized and executed an interprofessional mock drill involving birth center, paramedic, and hospital teams.
• Collected participant feedback via questionnaires post-drill.

Main Results:

• Paramedic knowledge scores increased by 43.5% post-education (n=95, P<.001).
• 97% of mock drill participants (n=10) supported future mock drills.
• The study demonstrated improved interprofessional understanding and readiness.

Conclusions:

• Clear guidelines and efficient interprofessional communication are key to improving perinatal outcomes during emergent transfers.
• Interprofessional education and mock drills effectively enhance knowledge and collaboration.
• Mock drills are a valuable tool for preparing healthcare teams for emergent birth center transfers.